title: Surgical treatment for coronary artery aneurysm: a single-centre experience.
abstract: OBJECTIVE
  Coronary artery aneurysm is a rare condition with a reported incidence of 0.14-4.9% in patients undergoing coronary angiography and 0.3-5.3% in patients after percutaneous transluminal coronary angioplasty (PTCA). Optimum surgical therapy for this entity is difficult to standardize. We present here a series of 4 cases with the aim of establishing an optimal surgical therapy for this rare entity.
  
  
  METHODS
  Four cases of coronary artery aneurysm were admitted in the Department of Cardiology and Department of Cardiothoracic and Vascular Surgery, King George's Medical University, Lucknow, from April 2010 to April 2012. All patients underwent a surgical procedure that involved ligation and plication of the aneurysm with coronary artery bypass grafting.
  
  
  RESULTS
  Out of the four coronary artery aneurysm patients, 1 was atherosclerotic and the remaining 3 patients developed coronary artery aneurysm after PTCA with a drug eluting stent to the left anterior descending artery. After surgery, all patients recovered uneventfully without any recurrence of symptoms in the follow-up.
  
  
  CONCLUSIONS
  Coronary artery aneurysm is a rare entity and is being seen more frequently with the increasing use of stents during PTCA. Proximal ligation and plication of the aneurysm with coronary artery bypass grafting in the present series provided good results. With this case series, we seek to establish an optimal surgical therapy for this rare entity.
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, King George's Medical University, Lucknow, India.
authors.forename: Sushil Kumar
authors.initials: SK
authors.lastname: Singh
authors.forename: Tushar
authors.initials: T
authors.lastname: Goyal
authors.forename: Rishi
authors.initials: R
authors.lastname: Sethi
authors.forename: Sharad
authors.initials: S
authors.lastname: Chandra
authors.forename: Vijayant
authors.initials: V
authors.lastname: Devenraj
authors.forename: Nitin Kumar
authors.initials: NK
authors.lastname: Rajput
authors.forename: Dinesh
authors.initials: D
authors.lastname: Kaushal
authors.forename: Vivek
authors.initials: V
authors.lastname: Tewarson
authors.forename: Santosh
authors.initials: S
authors.lastname: Gupta
authors.forename: Sarvesh
authors.initials: S
authors.lastname: Kumar
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000295:instrumentation; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000150:complications; D054855:Drug-Eluting Stents; D006801:Humans; D007194:India; D008026:Ligation; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D016896:Treatment Outcome
keywords: Aneurysm (Coronary); Coronary artery bypass grafting; Coronary percutaneous intervention; Stents (Coronary)